Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $569.00 / $2,562.00 / $7,542.00	Facility		$569.00	$2,562.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $322.02 / $508.14 / $804.05	Professional		$322.02	$508.14	$804.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $422.52 / $422.52 / $422.52	Professional		$422.52	$422.52	$422.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,314.73 / $2,195.73 / $4,503.00	Facility		$1,314.73	$2,195.73	$4,503.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $330.13 / $544.80 / $778.98	Professional		$330.13	$544.80	$778.98
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $345.78 / $345.78	Facility		$80.00	$345.78	$345.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $600.58 / $600.58 / $600.58	Facility		$600.58	$600.58	$600.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $369.33 / $573.10 / $973.41	Professional		$369.33	$573.10	$973.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,694.40 / $11,500.00 / $16,394.00	Facility		$1,694.40	$11,500.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,612.80 / $4,213.76 / $5,010.75	Professional		$2,612.80	$4,213.76	$5,010.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $342.04 / $518.55 / $849.91	Facility		$342.04	$518.55	$849.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $462.55 / $661.81 / $1,031.15	Professional		$462.55	$661.81	$1,031.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $389.60 / $603.04 / $819.20	Professional		$389.60	$603.04	$819.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $342.04 / $522.21 / $858.90	Facility		$342.04	$522.21	$858.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $380.91 / $618.27 / $1,100.66	Professional		$380.91	$618.27	$1,100.66
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,326.00 / $7,600.00	Facility		$1,154.00	$3,326.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $451.70 / $593.17 / $934.60	Professional		$451.70	$593.17	$934.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $488.92 / $547.15 / $775.33	Professional		$488.92	$547.15	$775.33